| Albert Shamouelian Md Inc A Professional Corporation | |
|
99 N La Cienega Blvd Ste 107 Beverly Hills CA 90211-2283 | |
| (310) 652-5292 | |
| (310) 659-8797 |
| Full Name | Albert Shamouelian Md Inc A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 99 N La Cienega Blvd Ste 107, Beverly Hills, California |
| Authorized Official Name and Position | Albert Shamouelian (OWNER) |
| Authorized Official Contact | 3106663037 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Albert Shamouelian Md Inc A Professional Corporation 9663 Santa Monica Blvd # 165 Beverly Hills CA 90210-4303 Ph: (310) 666-3037 | Albert Shamouelian Md Inc A Professional Corporation 99 N La Cienega Blvd Ste 107 Beverly Hills CA 90211-2283 Ph: (310) 652-5292 |
| NPI Number | 1508380965 |
|---|---|
| Provider Enumeration Date | 07/27/2017 |
| Last Update Date | 07/15/2022 |
| Medicare PECOS PAC ID | 4183997711 |
|---|---|
| Medicare Enrollment ID | O20170901003008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508380965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A142699 (California) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Albert Shamouelian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972921922 PECOS PAC ID: 1254604457 Enrollment ID: I20170911002083 |
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